The percentage of married women under the age of 20 years at 13% with a median age of 20.1 years and the median marriage age of first marriage in the rural lower at 19.7. Pregnancy at a very young age correlated with maternal mortality and morbidity. Girls aged 10-14 are five times the risk of dying during pregnancy or childbirth compared to the age group of 20-24 years, while the risk is doubled in the age group of 15-19 years. This study aimed to analyze several variables that affect the self-forming efficacy of early marriages. The research was explanatory research with cross sectional design. The sample size was 241. Data analysis was performed using correlation analysis Somers. There were very weak positive correlation for Verbal Persuasion (r = 0.013), very weak negative correlation for vicarious experience (r = -0026) and emotional arousal (r = -0075), weak negative correlation between mastery experience factor (r = -0035) with early marriage.
Background: Population growth has become one of priority problems should be solved in almost all of developing countries, including Indonesia. Backward, Indonesia had successful family planning history. However, it shows decline figures nowadays. While, unmet need of family planning in several regions found increased. In 2007, unmet need was 8.6 %, inclined to 11.4% in 2015, which is consisted of 4.5% for spacing children and 8.6% for limiting children. Social demography, economic, access to health services, family support and perception revealed have the contribution to unmet need. Aims: This study aimed to explore unmet need family planning due to birth spacing and limiting situation among reproductive age women in Pangkal Pinang City, Bangka Belitung Province.Methods: This study was an explanatory research used cross-sectional design. The population was women of childbearing age who experienced unmet need of family planning in Pangkal Pinang, 2016. 98 women were taken by proportional random sampling to participate in this study.Results: Research showed that the most of the unmet need for family planning were among 25-29 years old women. About two third (66.3%) of unmet need women occurred due to the willingness to space the childbirth and 33.7% willing to limit the childbirth. Birth spacing tended to be favored by young mothers, early marriage (1-5 years old), had low parity and had low education attainment. Whilst, limiting childbirth tended to be preferred by women with lenght marriage experience (>15 years old), had high parity, older mothers, and middle education level (senior high school) attainment. Conclusion: Both of spacing and limiting have no difference according to the economic situation, all of them mostly were the household wife from low-income family. Husband support to do not use contraception were found in both birth spacing and birth limiting. The study suggest to provincial health office and national family planning coordination board that family planning program should not just involve the wife, but husband as well due to their high influence in family planning decision. Keyword: Unmet need, family planning, birth spacing and limiting
Pertumbuhan dan perkembangan mengalami peningkatan yang pesat pada usia dini, yaitu dari 0 sampai 5 tahun. Masa ini disebut sebagai fase “Golden Age” dengan memperhatikan tumbuh kembang anak secara cermat agar sedini mungkin dapat terdeteksi apabila terjadi kelainan dan meminimalkan disfungsi tumbuh kembang anak sehingga mencegah terjadinya disfungsi permanen. Tenaga kesehatan kader merupakan sumber daya masyarakat yang dapat membantu program kesehatan yaitu dengan meningkatkan kemampuan dalam deteksi tumbuh kembang anak. Kegiatan pengabdian masyarakat ini dilakukan dengan tujuan untuk meningkatkan pengetahuan dan penerapan ibu-ibu kader kesehatan dan ibu yang memiliki balita tentang pemantauan tumbuh kembang anak dengan menggunakan kuesioner Pra Skrining Perkembangan (KPSP) dan penggunaan kalender 1000 Hari Pertama Kehidupan (HPK). Kegiatan ini diikuti oleh 14 kader kesehatan dan 16 ibu yang memiliki balita untuk simulasi pengisian lembar pemantauan tumbuh kembang KPSP dan penggunaan kalender 1000 HPK, dilaksanakan di Desa Cengkong Abang, berlangsung selama 2 hari yaitu pada tanggal 18 dan 30 September 2020. Bentuk kegiatan ceramah, tanya jawab dan simulasi pemantauan tumbuh kembang anak dengan menggunakan lembar balik dan lembar pemantauan tumbuh kembang KPSP serta simulasi penggunaan kalender 1000 HPK. Berdasarkan kuesioner pre test yang dibagikan kepada peseta didapatkan rata-rata nilai peserta pre test yaitu 42,5. Kemudian setelah diberikan pendidikan kesehatan dan praktik simulasi tentang pengisian lembar pemantauan tumbuh kembang anak yaitu KPSP diberikan kuesioner post test dan didapatkan nilai rata-rata post test 93,5. Terjadi peningkatan pengetahuan dari peserta yaitu para kader kesehatan dan ibu yang memiliki balita, namun perlu ditingkatkan lagi penerapan dari pengisian lembar pemantauan tumbuh kembang KPSP dalam kegiatan rutin kesehatan yaitu Posyandu.
HANDWASHING BEHAVIOR ASSESSMENT, DEVELOPMENTAL DEVIATION AND STUNTING DETECTION USING CARD TOWARDS HEALTHY Background: School-age children are a critical age group because at that age they are prone to health problems related to personal hygiene such as diarrhea, toothache, skin diseases and so on. Apart from personal hygiene issues, one of the risks of health problems that can cause growth and development problems for Kindergarten-aged children is nutrition. It is important for child development deviations to be detected early so that it can be quickly corrected for subsequent age development. Anthropometrically, assessing the nutritional status of school-age children can use the weight and height. A tool for monitoring the development of nutritional status of kindergarten children is Kartu Menuju Sehat (KMS). Every child who is measured for height can immediately know their nutritional status. This study looked at a description of hand washing behavior, developmental deviations and stunting detection in kindergarten children.Purpose To assess hand washing behavior, developmental deviation and stunting detection in kindergarten children through KMS monitoring.Methods: The type of research used in this research was descriptive research. The research method used was a survey with a cross sectional approach. A total of 29 kindergarten children were assessed for hand washing behavior using WHO guidelines and assessed for stunting status using KMS Dinding.Results: The results of the study were mostly boys (51.7%) with ages 2 - 4 years, which is 62.1%. The results of the practice of washing children's hands using hand washing guidelines from the WHO obtained data as much as 21 children (75%) had been implemented well (6 - 7 steps) and less well by 7.1%. Early detection of child deviations using the Developmental Pre-Screening Questionnaire was 16 children (55.2%) according to development, but there were 9 children (31%) doubting results and 4 children (13.8%) likely to experience deviations. The results of measurements using KMS Dinding in kindergarten showed that there were 6.9% of children's measurement results in yellow, light green 86.2% and dark green of 6.9%. Conclusion: KMS Dinding can detect stunting in kindergarten children, there are children who may experience deviations and most children have washed their hands properly according to WHO guidelinesSuggestion provide motivation for students to get used to washing hands using soap in the school and home environment, in order to prevent diseases caused by dirty hands. The school is expected to continue to carry out early detection of children's growth and development so that improvements can be made immediately if a deviation is found in the child's growth and development Keywords: Hand Washing, Developmental Deviation, Nutritional Status ABSTRAK Latar Belakang: Anak usia sekolah merupakan kelompok usia yang kritis karena pada usia tersebut rentan terkena masalah kesehatan terkait personal hygiene misalnya diare, sakit gigi, penyakit kulit dan sebagainya. Selain masalah personal hygiene, salah satu risiko masalah kesehatan yang dapat menyebabkan gangguan pertumbuhan dan perkembangan anak usia Taman Kanak-Kanak (TK) adalah masalah gizi. Penyimpangan perkembangan anak penting untuk dideteksi secara dini agar dapat dengan cepat dilakukan koreksi terhadap perkembangan usia selanjutnya . Secara antropometri penilaian status gizi anak usia sekolah dapat menggunakan indeks Berat Badan (BB) dan Tinggi Badan (TB). Alat untuk memantau perkembangan status gizi anak TK adalah Kartu Menuju Sehat (KMS). Setiap anak yang diukur TB dapat segera diketahui status gizinya. Penelitian ini melihat gambaran perilaku cuci tangan, penyimpangan perkembangan dan deteksi stunting pada anak taman kanak-kanak.Tujuan: Menilai perilaku cuci tangan, peyimpangan perkembangan dan deteksi stunting pada anak taman kanak-kanak melalui pemantauan KMS.Metode: Jenis penelitian yang digunakan dalam penelitian ini adalah jenis penelitian deskriptif. Metode penelitian yang yang digunakan adalah survey dengan pendekatan cross sectional. Sebanyak 29 anak TK dinilai perilaku cuci tangan menggunakan pedoman WHO dan dinilai status stunting menggunakan KMS Dinding.Hasil: Hasil penelitian sebagian besar yaitu anak berjenis kelamin laki-laki (51,7%) dengan usianya adalah usia 2 - 4 tahun yaitu sebesar 62,1%. Hasil praktik mencuci tangan anak dengan menggunakan pedoman cuci tangan dari WHO diperoleh data sebanyak 21 anak (75%) telah melaksanakan dengan baik (6 – 7 langkah) dan kurang baik sebesar 7,1%. Deteksi dini penyimpangan anak dengan menggunakan Kuesioner Pra Skrining Perkembangan (KPSP) sebanyak 16 anak (55,2%) sesuai dengan perkembangan, namun terdapat 9 anak (31%) meragukan dan 4 anak (13,8%) kemungkinan mengalami penyimpangan. Hasil pengukuran menggunakan KMS dinding pada sekolah TK menunjukkan bahwa terdapat sebesar 6,9% hasil pengukuran anak berada pada warna kuning, hijau muda 86,2% dan hijau tua sebesar 6,9%.Kesimpulan: KMS Dinding dapat mendeteksi terjadinya stunting pada anak TK, terdapat anak yang kemungkinan mengalami penyimpangan dan sebagian besar anak telah mencuci tangan dengan baik sesuai dengan pedoman WHOSaran memberikan motivasi pada siswa untuk membiasakan diri cuci tangan menggunakan sabun di lingkungan sekolah dan rumah, guna mencegah timbulnya penyakit yang disebabkan oleh tangan yang kotor. Pihak sekolah diharapkan terus dapat melakukan deteksi dini tumbuh kembang anak agar dapat segera dilakukan upaya perbaikan jika ditemukan kondisi penyimpangan pada tumbuh kembang anak Keywords: Cuci Tangan, Penyimpangan Perkembangan, Status Gizi
Tubal ligation is a long-term contraceptive and relatively non-adverse, but the problem is that fecundity return surgery for couples who want to change plans to add more children cannot be guaranteed and the cost is very expensive. The research aims to analyze the factors that influence tubectomy contraception for acceptors aged less than 40 years in Pangkalpinang City in 2016. The research type was explanatory with a cross-sectional design. The sample was tubectomy contraceptive acceptors of 95 people. Data analysis was performed using a Chi-square test to determine the relationship between variables. The results showed there was no relationship between maternal education (p=0.512), husband's education (p=0.802), maternal job (p=0.522), parity (p=0.533), knowledge (p=0.484), and support from their husband (p=0.622) with tubectomy less than 40 years of age. The reasons for tubectomy that are most often cited are related to health factors and family factors/number of children. Almost all respondents (98%) stated that they were satisfied after having a tubectomy seen from several factors including the reasons underlying the desire for tubectomy, the amount of support, the attitude, and role of the husband, support from the family, community, and role models, and easy access to costs and places to get tubectomy health services.
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